Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of Fishbone-induced Esophageal Perforation Closed by Endoscopic Clipping

생선가시에 의한 식도천공을 내시경 클립술로 봉합한 1예

  • Leem, Joung-Muk (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Han, Joung-Ho (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Ko, Byeong-Seong (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Kim, Mi-Sung (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Park, Ji-Young (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Choi, Woo-Hyung (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Youn, Sei-Jin (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Park, Seon-Mee (Department of Internal Medicine, Chungbuk National University College of Medicine)
  • 임정묵 (충북대학교 의과대학 내과학교실) ;
  • 한정호 (청주성모병원 내과) ;
  • 고병성 (청주성모병원 내과) ;
  • 김미성 (청주성모병원 내과) ;
  • 박지영 (청주성모병원 내과) ;
  • 최우형 (청주성모병원 내과) ;
  • 윤세진 (충북대학교 의과대학 내과학교실) ;
  • 박선미 (충북대학교 의과대학 내과학교실)
  • Received : 2010.06.09
  • Accepted : 2010.07.30
  • Published : 2010.09.30
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Abstract

Esophageal perforation continues to be associated with high mortality - 20% to 30% - despite advances in surgical techniques. Traditional surgery has been the mainstay of treatment for perforation, but recent advances in endoscopic closure devices has increased therapeutic options for selected patients. Our patient had a fishbone-induced esophageal perforation. He was treated successfully with endoscopic clipping, antibiotics and parenteral nutrition. We report this case and provide a review of the relevant literature.

식도천공은 수술기술의 발전에도 불구하고 20~30%의 높은 사망률을 가진 치명적인 질환이다. 여전히 수술이 식도천공의 주된 치료방법이지만, 최근 내시경 봉합술의 발전으로 선택된 환자에서 비수술적 방법도 선택되고 있다. 저자들은 80세 환자에서 발생한 생선가시에 의한 식도천공을 내시경 클립술로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고한다.

Keywords

References

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